- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care ...Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... screening, employee verification, annual PPD testing, Covid testing, work related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies for continued stay… more
- EPAM Systems (Philadelphia, PA)
- As the **Head of Next-Generation Managed Services** at EPAM Systems, you will revolutionize our service delivery model by implementing AI-first strategies while ... leading multiple strategic client accounts. You'll architect next-generation managed services that integrate DevOps, SRE principles, and intelligent automation to… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …and strong attention to detail. + Understands and connects with the BAYADA Home Health Care culture. + Ability to read, write and effectively communicate in ... . **As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local… more
- Elevance Health (Wilmington, DE)
- …of 5 years of direct psychiatric and/or substance abuse experience and prior managed care experience; or any combination of education and experience, which ... health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression,… more
- ChenMed (Philadelphia, PA)
- …specialists, social workers, other case managers and nurses, acute and post-acute facilities, home health care companies, and health plans. The success of ... Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired We're ChenMed...seek to rescue more and more seniors from inadequate health care . ChenMed is changing lives for… more
- Penn Medicine (Philadelphia, PA)
- …of professional responsibility as role model to peers and members of the health care team. + Perform approved therapeutic or diagnostic procedures based ... activities of the organization. + Precept students and other health care learners. + Identifies patient/family needs...care for our patients starts with the best care for our employees. Our employee benefits… more
- Penn Medicine (Philadelphia, PA)
- …of professional responsibility as role model to peers and members of the health care team. + Perform approved therapeutic or diagnostic procedures based ... of the organization. + Precept NP students and other health care learners. + Identifies patient/family needs...care for our patients starts with the best care for our employees. Our employee benefits… more
- Penn Medicine (Philadelphia, PA)
- …of professional responsibility as role model to peers and members of the health care team. + Perform approved therapeutic or diagnostic procedures based ... of the organization. + Precept NP students and other health care learners. + Identifies patient/family needs...care for our patients starts with the best care for our employees. Our employee benefits… more
- Elevance Health (Wilmington, DE)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically ... + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs...Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed… more
- Elevance Health (Wilmington, DE)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. ... modifies as necessary. + Interfaces with Medical Directors and Health Professionals on the development of care ...preferred. + Prior "telephonic" Case Management experience with a Managed Care Company preferred + Certification as… more
- Elevance Health (Wilmington, DE)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. ... + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs...Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed… more
- Penn Medicine (Philadelphia, PA)
- …of professional responsibility as role model to peers and members of the health care team. + Perform approved therapeutic or diagnostic procedures based ... work hours and associated requirements will be defined and managed under the direction of the supervising physician and...care for our patients starts with the best care for our employees. Our employee benefits… more
- Virtua Health (Marlton, NJ)
- …equivalent, associate's degree preferred. Training / Certification / Licensure: Health care experience including medical terminology and managed care ... equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by… more
- Virtua Health (Pennsauken, NJ)
- …years experience as Clinical Social Worker.Basic understanding of Medicare, Medicaid and managed care .Discharge planning or home health background.Excellent ... equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by… more
- Virtua Health (Moorestown, NJ)
- …and health insurance guidelines and practices, including commercial, Medicare and managed care payers. Solid knowledge of and ability to use, electronic ... equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by… more
- Penn Medicine (Philadelphia, PA)
- …assistant + Pennsylvania licensure as a CRNP or PA-C + Experience in behavioral health and/or acute care medical setting preferred + BLS required We believe ... Nurse Practitioner or Physician Assistant to join the Mental Health Engagement, Navigation, and Delivery (MEND) service. MEND is...care for our patients starts with the best care for our employees. Our employee benefits… more
- Elevance Health (Wilmington, DE)
- …**Minimum Requirements:** + Requires BA/BS in Pharmacy. + Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; ... is granted as required by law._ A proud member of the Elevance Health family of companies, **CarelonRx** (formerly IngenioRx) leverages the power of new technologies… more
- Penn Medicine (Philadelphia, PA)
- …practice revenue cycle management/oversight. Ensure practice alignment with all standards. + Managed Care /Payer Management - Support implementation of managed ... + <10 = # of staff directly and indirectly managed + <15,000 = # of budgeted annual visits...care for our patients starts with the best care for our employees. Our employee benefits… more
- Penn Medicine (Philadelphia, PA)
- …coding, cash management, charge entry, etc. Ensure practice alignment with all standards. Managed Care /Payer Management - Support implementation of managed ... * 15+ = # of staff directly and indirectly managed * 20,000+ = # of budgeted annual visits...care for our patients starts with the best care for our employees. Our employee benefits… more
- Penn Medicine (Philadelphia, PA)
- …monthly reports defining outcomes and payer trends. + Fosters a partnership between compliance, managed care , and the health plans in accordance with ... flow measures by ensuring efficient and effective utilization of health care services. The Physician Advisor role...and denial management. The Physician Advisor partners with the managed care and compliance departments to ensure… more